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Quick Guide Software Version 4.0

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Synapse 4.0 Quick Guide PFS-0024441-A 2/22/2012

Locating a Study in Worklist

1. Double Click the Synapse® Icon 2. If prompted, Log-in with Username and Password provided by the PACS admin. 3. Locate the Patient/Study to view by selecting the appropriate Folder.

Recent = 7 days 4. Enter Patient information as shown to refine the search 5. Double Click on a listed Study to display 6. Select an image by Left click, to view next image rotate the mouse wheel 7. Right Click to Access Synapse Image Tool Menu 8. Select the UP Icon to return to List 9. If using Windows 7 without UP Icon return to list by

Clicking on folder at top of page

Synapse Property Settings There are many customizable workstation settings found in the Synapse Properties.

Please refer to the Synapse Property Settings in the Synapse Help file. Synapse Help is always available from the Help menu on the top toolbar when Synapse is open.


Filtering Worklists Worklists may be filtered by various methods. The Search Bar can be used to filter lists by any column on the List View. If any search criteria is used, the Search Bar will be highlighted (yellow on color & gray on monochrome monitors).

Multiple Search criteria can be used across multiple columns or in the same column by using down arrow.

Multilevel sort can be used for up to 3 levels by pressing the Ctrl key while clicking on the column headers. Arrows next to column headers represents sort hierarchy.

Filters can be saved by selecting Save Filter settings in Synapse Properties View Settings

Advanced Filtering Worklist Filtering worklists by Reservations or assignment type. Apply checkbox to filter by Reservation, My Reading, Others Reading, My Review and Others Review. (Privileged based)

List filtered by My Reading and CT Modality

List filtered by My reading and Priority Column sort


Using the Search option to locate Studies

The Synapse® “Search” option can be found in three places: 1. Desktop Icon Right click Synapse Icon left click search

2. List View

Left click Search Icon

3. Start>Search>Synapse

Search Feature can be used for looking up patients without navigating to a Worklist. Also it can be left open and incorporated in Interruption Workflow. . After choosing Search from list View, Synapse Desktop Icon or Start Bar, enter Patient information to locate study. After viewing, close window. Original study view will be maintained.


Accessing Patient and Study Information Power Jacket is the Master Patient Information Jacket and all information associated with selected patients is accessible from this window .Columns may be sorted.

Power jacket sorted by Modality Column

Power Jacket sorted by Study Status

Some Shortcuts for Power Jacket Content

Alt + I Displays the study Information.

Alt + N Displays the study Notes. Alt + R Displays the study Report. Alt + U Displays Documents in Power Jacket. Alt + E Displays Series Picker in Power Jacket.


Dashboard The Dashboard allows quick access to Folders. The Dashboard can be launched from two locations. The Synapse Icon on the Desktop and from any folder list. 1. Right Click on Synapse Icon. Left click on Dashboard

2. Folder List View

Left Click on Dashboard Icon

Left click folder to view content and view images Dashboard is configurable to user. Content and color is set in Synapse Properties.

See Synapse Help file for more information

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Context Menu Tools Activate by Right Click on Image, Left Click on desired tool

Place cursor on Tools for additional set

Additional Tools Shortcut to Window/Level – Zoom – Pan • Lt. Click image and Hold button down • Rt. Click once to toggle through tools • Do not release Lt. Mouse button. • Move mouse to use selected tool • F5 to reset the study


Auto Compare To make comparisons, multiple studies belonging to the same patient can be concurrently viewed. Comparison studies can be selected from the PowerJacket

Or

Use the following Keyboard shortcuts.

Alt + C To Auto Compare the first/next available historical study and go through the list of comparison studies.

Alt + Shift + C To Auto Compare the current study with the previous set of comparison studies.

Alt + X Closes all opened Comparison studies. Alt + S Show Next Reading Protocol Step

Alt + A Show Previous Reading Protocol Step

Comparison Image Date and time is highlighted in upper right of image

Original Image Comparison Image Automatic Comparisons options are available in Synapse Properties, Study Display Options


Reading Protocols The Reading Protocol defines a sequence of steps with pre-defined multiple display formats. The system automatically selects the Reading Protocol for the initial display. Instructions: To select a different Reading Protocol

1. Click the Reading Protocol selection pull down menu

2. Select a Reading Protocol from the list. The new Reading Protocol will apply to the image. 3. The list includes both Template and Instance Reading Protocols.

To change the Reading Protocol Step 1. Click the Previous or Next on Explorer Toolbar

2. The Previous or Next step of the Reading Protocol will apply to the image

Keyboard Shortcuts for Reading Protocol Steps Alt + S Shows Next Reading protocol Step. Alt + A Shows Previous Reading Protocol Step.

To change the Step of the Reading Protocol from the list

1. Click the Reading Protocol Step selection pull down menu

2. Select a step from the list. The new Step of the Reading Protocol will apply to the image.

Reading Protocol Step Organizer The Organize Steps menu is found in the Reading Protocol step menu of the Synapse toolbar:

Click Organize Steps to bring up the Organize Reading Protocol Steps dialog window:


Preset Configuration Synapse Presets may be customized with the Preset Configuration Tool in Synapse Properties

Default Presets can be viewed and edited

Select preset then enter new values. Add or change Number pad shortcuts if desired then save.

This requires logging off and logging on Synapse to affect change. Please refer to Synapse Help file for more details on Preset Configuration


Hot Key Shortcuts HOT KEY TOOL

R Activates Ruler. H Activates Ruler for

Horizontal Ratio V Activates Ruler for

Vertical Ratio. T Activates Text. A Activates Arrow. D Activates Density Value.

G Activates Angle. F Activates Freehand ROI.

E Activates Elliptical ROI.

B Activates Bookmark.

I Activates/Deactivates IntelliLink. Double Clicking the Mouse wheel can also be used.

S Activates/Deactivates IntelliScroll.

K IntelliScroll Add/Remove. = Zoom to fit - Zoom to 1X C IntelliScroll Remove All. . Toggles on/off CAD

findings J Activates/Deactivates

IntelliScroll Auto Link. Q Lock the reference lines

as currently displayed. U Unlock reference lines.

Hot key usage: press and hold

Letter then left click mouse


Image Navigation N + Left Mouse on Image Activates Cine. Home Returns to first image in the Series/Study. End Jumps to the last image in the Series/Study. Middle Mouse button down + Mouse move

Displays scrolling images on the selected window.

Page down Scrolls down one page. Page up Scrolls up one page. Up arrow Scrolls up one row of tiles. Down arrow Scrolls down one row of tiles. Right arrow Scrolls up one tile. Left arrow Scrolls down one tile.

MPR VIEW MPR VIEW is an optional MPR (Multi-Planar Reformatting) visualization software package for use with Synapse.

M + Left Mouse Opens MPR VIEW. MPR VIEW also activated from Context tools.

* MPR View Display *MPR View Display may be dragged to Auxiliary/Color Monitor


Series Manipulation By using the drag and drop operation, Series or Images can be rearranged for viewing, or copies of the series can be created.

To move an entire series:

Click and hold the Left mouse button on the series, then drag and drop into another window.

To create a copy of a series in another window: With the cursor on the required series, press and hold Ctrl + left mouse button or Right mouse button, then drag/drop into another window.

To swap an image or series from one tile to another: Hold the Shift key and drag the image or series.

To clear an image or series in a tile: Right mouse click to display the context menu, and then select “Clear” from the context menu.

Selecting Images Ctrl + A Selects all images or series for image manipulation. Ctrl + Left Selects multiple images. Shift + Left Selects sequential image. Left outside of object De-selects all.

Image Manipulation Tools Left Mouse Button hold + Right Mouse Button Single Clicks

Activates image tool window/level, zoom and pan. Toggle right button to change the tool.

Alt + Left + Mouse move

Right and Left : Window width Forward and Back : Window level

Alt + Ctrl + Mouse move

Image zoom or interactive ROI zoom.

Alt + Shift + Mouse move

Image pan or interactive ROI size change.

O + Left Mouse on Image Activates Interactive ROI.

NumPad + 0 ~ 9 The number pad keys are linked to Presets.

L + Left Mouse button Lock Tool activate.

Esc Dismiss Locked Image Tool. " = " + Left Mouse button Zoom to 1X.

" - " + Left Mouse button

Toggles Zoomed image back to fit Display

Shift +T Toggles text overlays

Shift + A Toggles Annotations

Shift + S Toggles DICOM shutter


Synapse® Toolbar Icons

Opens the Power Jacket

Show Study Information (Alt+I) Radiology Reports Page (Alt+R) Access Synapse Notes (Alt+N) Show Attached or Scanned Docs (Alt+U) Open Series Chooser (Alt+E)

Initiate Dictation/Mark Dictated (F8) Skip selected Exam for Dictation (F9) Launch 3D Application (F7) Dicom Tools Menu

Start Dictation for Selected Exam (Alt+D) Page Layout

My History (ALT-Y)

Series Picker View/Config

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